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Drug Card Flashcards

1
Q

Adenosine:
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Antiarrhythmic
  2. 6mg/2mL
  3. 6mg, 12mg
  4. Narrow complex SVT
  5. 18g AC fast IV push w/ 30mL LR
  6. 30sec/6sec
  7. Asystole
  8. Wide Complex Tach, WPW
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2
Q

Albuterol
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Sympathomimetic Bronchodilator/Beta 2 Agonist
  2. 2.5mg/3mL
  3. 2.5mg Q5
  4. Bronchospasm, Hyper K+
  5. SVN
  6. 1-15min/3-6hr
  7. Tachycardia
  8. None
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3
Q

ASA
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Anti-platelet
  2. 81mg/tab
  3. 324mg
  4. CP, Acute MI
  5. PO
  6. 5min/24hrs
  7. Nausea, GI Bleeding
  8. Allergy
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4
Q

Atropine
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Parasympatholytic
  2. 1mg/10mL (pre-load)
  3. 0.5mg - 1.0mg (max 3), organophosphate: 2-5mg q10-15
  4. Bradycardia, Organophosphate Poisoning (after DuoDote)
  5. IV
  6. 2-4min/4hrs
  7. HA, dizziness, confusion
  8. Caution in MI
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5
Q

Calcium Chloride
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Electrolyte
  2. 1mg/10mL (pre-load)
  3. 1g, repeated once after 10min
  4. HyperK, Ca channel blocker OD
  5. IV/Flush Line
  6. Rapid
  7. Extravasation Necrosis
  8. Digitalis Toxicity
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6
Q

D10
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Carbohydrate
  2. 25g/250mL (pre-mix)
  3. Titrate to LOC
  4. Hypoglycemia
  5. IV
  6. 1-10min
  7. Hyperglycemia
  8. Hyperglycemia
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7
Q

Diltiazem
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Ca2+ channel blocker
  2. 25mg/5mL
  3. 1˚: 20mg over 2min, 2˚: 25mg over 2min
  4. A-FIB RVR, SVT after Adenosine
  5. SLOW IVP in 5mg increments over 2 min
  6. 3min/1-3hrs
  7. Bradycardia, Hypotension, Heart Block
  8. WPW, Hypotension w/ shock, severe heart failure
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8
Q

Diphenhydramine
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. anti-histamine
  2. 50mg/1mL
  3. 25-50mg
  4. hives second to allergy, dystonic reaction
  5. IV
  6. 1min/4hrs
  7. Drowsiness
  8. Long QT
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9
Q

DuoDote
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Nerve Agent Antidote
  2. 2.1mg Atropine 600mg Pralidoxime
  3. 1 Autoinjector +2 PRN
  4. Organophosphate Poisoning
  5. IM
  6. <5min/1hr
  7. NA
  8. None
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10
Q

Epi (Plan A)
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Sympathomimetic
  2. 1mg/10mL
  3. 0.5mg (>100kg 1.0mg)
  4. Plan A
  5. IV/IO
  6. Rapid/5min
  7. Tachycardia, Anxiety, CVA
  8. None
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11
Q

Epi (Non-Plan A)
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Sympathomimetic
  2. 1mg/1mL
  3. 0.3mg
  4. Anaphylaxis, Asthma
  5. IM
  6. Rapid/45min
  7. Tachycardia, anxiety, CVA
  8. None
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12
Q

Epi (Drip)
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Sympathomimetic
  2. 8mcg/mL
  3. 2mg in 250mL D5W titrate to SBP 90
  4. Anaphylaxis, Asthma, Hypotension w/ Bradycardia
  5. IV Infusion (own line)
  6. Rapid
  7. Tachycardia, Anxiety, CVA
  8. None
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13
Q

Etomidate
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Hypnotic
  2. 20mg/10mL
  3. 0.2mg/kg (1/2 dose hypotension)
  4. RSI/Induction
  5. Fast IVP
  6. 30sec/10min
  7. Myoclonus, Repeat doses can cause bradycardia
  8. None
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14
Q

Fentanyl
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Narcotic Analgesic
  2. 100mcg/2mL
  3. 25-50mg increments (titrate to effect)
  4. Pain, MI, Post-intubation sedation
  5. IV
  6. Rapid/30-60min
  7. Respiratory Depression, Nausea
  8. Allergy
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15
Q

Furosemide
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Loop Diuretic
  2. 40mg/4mL
  3. 20-40mg (2x daily dose up to 160mg for daily Lasix)
  4. CHF, Pulmonary Edema
  5. IV
  6. 15-30min/6hours
  7. Hypotension, Dizziness
  8. Hypotension, Sepsis
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16
Q

Hydroxocobalamin
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Cyanide Antidote
  2. 5g powder in 250mL bottle (Dilute w/ 200mL LR)
  3. 5g over 15min
  4. Cyanide poisoning w/ DLOC
  5. IV Infusion
  6. <5min/6days
  7. Hypertension, Anaphylaxis
  8. None
17
Q

Ipratropium
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Bronchodilator
  2. 0.5mg/2.5mL
  3. 0.5mg
  4. Bronchospasm
  5. SVN
  6. 1-15min/3-6hr
  7. Tachycardia, HTN, Anxiety, Dizziness
  8. None
18
Q

Ketamine (Delirium)
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Hypnotic
  2. 500mg/5mL
  3. 5mg/kg (max 500mg)
  4. Severe Agitation
  5. IM
  6. 1-4min/12-25min
  7. Emergence Reactions
  8. None
19
Q

Ketamine (Pain, RSI)
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Analgesic
  2. 500mg/5mL (Diluted to 20mg/mL)
  3. Pain: 0.2mg/kg, RSI: 2mg/kg (1/2 dose hypotension)
  4. Pain, RSI
  5. IV (must dilute!)
  6. 1min/15-30min
  7. Laryngospasm
  8. Undiluted: heart failure, severe hypertension
20
Q

Keppra
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Anticonvulsant
  2. 1500mg/100mL
  3. 60mg/kg up to 4500mg
  4. Status Epilepticus
  5. IV Infusion over 5min x2
  6. 5-30min/12hours
  7. Agression, Somnolence
  8. Hypersensitivity
21
Q

Lidocaine
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Antiarrythmic
  2. 100mg/5mL (pre-load)
  4. VF, VT, Plan A
  5. IV
  6. 3min/10-20min
  7. Convulsions, Bradycardia
  8. High Degree Block, Ventricular Rhythms <100
22
Q

Magnesium Sulphate
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Electrolyte
  2. 2g/5mL
  3. VF/VT/Torsades: 2g IV over 1-2min, Pre/Eclampsia: 4g IV over 15-20min, Status Asthmaticus: 2g IV over 15-20min
  4. Refractory VF/VT, Torsades, Pre/Eclampsia, Status Asthmaticus
  5. IV
  6. Rapid/30min
  7. Hypotension
  8. Heart Block
23
Q

Midazolam
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Benzodiazepine
  2. 5mg/1mL
  3. Anxiety: 1-2.5mg, Convulsion: 10mg (IV/IM), post-RSI sedation/amnesia: 2.5-5mg
  4. Sedation, Convulsions
  5. IV/IM
  6. 2-5min/1-2hrs
  7. RD, Nausea
  8. None
24
Q

Narcan
1. Class
2. Concentration
3. Dose
4. Indications
5. Route
6. Onset/Duration
7. Side Effects
8. Contraindications

A
  1. Opioid Antagonist
  2. 0.4mg/mL
  3. 0.1mg IV (up to 0.8mg), 0.4mg IM
  4. Opiate OD
  5. IV/IM
  6. 3min IV, 5min IM/60min
  7. Opiate Withdrawal, Pulm Edema
  8. None
25
NTG 1. Class 2. Concentration 3. Dose 4. Indications 5. Route 6. Onset/Duration 7. Side Effects 8. Contraindications
1. Vasodilator 2. 0.4mg 3. 0.4mg Q5 (>90SBP) 4. Angine, MI, Pulm Edema 5. SL 6. 1-3min/10min 7. Hypotension, HA 8. RV MI, ED Drugs, Hypotension, CE
26
Norepi 1. Class 2. Concentration 3. Dose 4. Indications 5. Route 6. Onset/Duration 7. Side Effects 8. Contraindications
1. Sympathomimetic 2. 4mg/4mL 3. 8mg in 250mL D5W (titrate to SBP90) 4. Shock 5. IV (needs own line) 6. Rapid/1-2min 7. Dysrhythmias, HTN, Necrosis @ site 8. Relative: Active bleeding 2˚ trauma
27
Zofran 1. Class 2. Concentration 3. Dose 4. Indications 5. Route 6. Onset/Duration 7. Side Effects 8. Contraindications
1. Antiemtic 2. 4mg/2mL 3. 4mg IV push over 1-2min, may repeat 4. N/V 5. Slow IVP, IM 6. 1min/4hr 7. HA, Drowsy, Dry Mouth 8. Prolonged QT, Anaphylaxis, Motion Sickness
28
Oxytocin 1. Class 2. Concentration 3. Dose 4. Indications 5. Route 6. Onset/Duration 7. Side Effects 8. Contraindications
1. Hormone 2. 10u/1mL 3.10u in 500mL LR over 5min, 10u IM 4. Post-partum hemorrhage prophylaxis 5. IV, IM 6. Rapid/1hr 7. N/V 8. None
29
Procainamide 1. Class 2. Concentration 3. Dose 4. Indications 5. Route 6. Onset/Duration 7. Side Effects 8. Contraindications
1. Anti-arrhythmic 2. 1g/10mL 3. VF/VT arrest - 300mg IVP x3, Not Arrest: 50mg/min up to 17 mg/kg (DC if QRS widens 50%) 4. Plan A, Wide Complex Tachy, WPW 5. IV 6. Rapid/3-6hr 7. Hypotension, Widening QRS 8. Heart Block, Torsades
30
Rocuronium 1. Class 2. Concentration 3. Dose 4. Indications 5. Route 6. Onset/Duration 7. Side Effects 8. Contraindications
1. Non-depolarizing neuro muscular blocker 2. 100mg/10mL 3. Paralysis: 1mg/kg 4. RSI 5. Rapid IVP 6. 1-2min/40min 7. Apnea 8. None
31
Bicarb 1. Class 2. Concentration 3. Dose 4. Indications 5. Route 6. Onset/Duration 7. Side Effects 8. Contraindications
1. Electrolyte/Antacid 2. 50mEq/50mL 3. HyperK: 1mEq/kg, TCA OD 4. HyperK, TCA 5. IV 6. Rapid 7. Extravasation Necrosis, Tetany 8. Calcium in line

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